| Dr Carlos Mario Rivera Serrano, MD | |
|
1111 Kane Concourse Ste 111, Bay Harbor Islands, FL 33154-2039 | |
| (617) 755-9404 | |
| Not Available |
| Full Name | Dr Carlos Mario Rivera Serrano |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 1111 Kane Concourse Ste 111, Bay Harbor Islands, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497910905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036.139259 (Illinois) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | ME148629 (Florida) | Primary |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carlos Mario Rivera Serrano, MD 1111 Kane Concourse Ste 111, Bay Harbor Islands, FL 33154-2039 Ph: (617) 755-9404 | Dr Carlos Mario Rivera Serrano, MD 1111 Kane Concourse Ste 111, Bay Harbor Islands, FL 33154-2039 Ph: (617) 755-9404 |
Dr. John Louis Whitehead, DO Surgery Medicare: Medicare Enrolled Practice Location: 1111 Kane Concourse Ste 311, Bay Harbor Islands, FL 33154 Phone: 305-865-2000 Fax: 305-865-2002 |
Michael Salzhauer, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1140 Kane Concourse Fl 4, Bay Harbor Islands, FL 33154 Phone: 786-982-8788 Fax: 305-866-5052 |